PHILIPPINE INSTRUMENTATION AND CONTROL SOCIETY

Rm. 407, 4th Floor, Industrial Technology Building

Rizal Technological University, Boni Avenue, Mandaluyong City 1550
Tel. No.: 746-3085
E-mail:pics.national@gmail.com
Website: www.picsnational.org

Date:
Name:
Company:
_
Address:
Tel. No.:
Fax No.:
E-mail:
Certification Review
Certification Examination
Name of additional participants(s)
1. _______________________________________________________________
2. _______________________________________________________________
3. _______________________________________________________________
4. _______________________________________________________________
5. _______________________________________________________________

Approving Officer (Signature over Printer Name)

For more information, please call:

Ms. Charmie Joy Mandin

Philippine Instrumentation and Control Society

Rm 407, 4th ITB Rizal Technological University, Boni Avenue, Mandaluyong City
Telefax : (632) 746-3085
E-mail : pics.national@gmail.com
Registration Fees:
For Certification Review
PICS Member
- Php 4,500.00
Non-PICS Member - Php 6,500.00
For Certification Exams - Php 1,500.00
Reservation Fee: Php 300.00
(deductible from registration fee)

Please make all cheques payable to the Philippine Instrumentation & Control Society
Limited seats only, so please register early